Open AccessVisualization of Concurrent Epicardial and Microvascular Coronary Artery Disease in a Patient with Systemic Lupus Erythematosus by Magnetic Resonance Imaging
Author(s) -
Liam J. McGill,
Callum E. Gill,
U. Joseph Schoepf,
Richard R. Bayer,
Pál Surányi,
Ákos Varga-Szemes
Publication year - 2022
Publication title -
topics in magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.547
H-Index - 53
eISSN - 1536-1004
pISSN - 0899-3459
DOI - 10.1097/rmr.0000000000000294
Subject(s) - medicine , cardiology , coronary artery disease , chest pain , magnetic resonance imaging , electrocardiography , radiology , myocardial perfusion imaging , myocardial infarction , magnetic resonance angiography , angiography , artery
We present a patient with history of systemic lupus erythematosus who presented with acute chest pain. Electrocardiography, invasive coronary angiography, and cardiac MRI were performed during the course of her evaluation. Invasive coronary angiography demonstrated obstructive disease in the diagonal system and cardiovascular MRI confirmed an anterior infarct consistent with the electrocardiographic findings. However, MRI also revealed focal inferoseptal hypoperfusion inconsistent with electrocardiographic and angiographic findings. Rather, these findings indicate the presence of concurrent microvascular coronary artery disease, which has a high prevalence among women with autoimmune disease.